GREAT GRILLZ LLC (NPI# 1336605773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336605773 |
| Entity Type | Organization |
| Organization Name | GREAT GRILLZ LLC |
| Practice Address |
1555 N Wayne St Angola IN 46703-2352 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 2603195090 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | KURT LOSIER (OWNER) |
| Authorized Official Telephone | 2603195090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1555 N WAYNE ST |
| City | ANGOLA |
| State | IN |
| Zip Code | 46703-2352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836415 | Kreg Terry | Dentist | 1555 N Wayne St, Angola, IN 46703-2352 | 2018-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617097 | Carolyn Yvonne Davis | Registered Nurse | 909b South Darling Street, Angola, IN 46703 | 2020-01-02 |
| 1588144760 | Travis William Simmons | Chiropractor | 1220 N 200 W, Angola, IN 46703 | 2018-08-17 |
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1578977385 | Amber Joy Richards | Counselor | 200 Hoosier Dr. Suite E, Angola, IN 46703 | 2014-06-19 |
| 1972874667 | Amanda Louise Traxler | Specialist/Technologist | 350 S John Mcbride Ave, Angola, IN 46703 | 2012-01-26 |
| 1659656155 | Kelly Balyeat | Pharmacist | 2012 North Wayne Street, Angola, IN 46703 | 2011-10-15 |
| 1689843930 | Erin Nicole Culler | Pharmacist | 2290 North Wayne Street, Angola, IN 46703 | 2008-02-20 |
| 1235319963 | J Andrew Stoner | Counselor | 430 N Wayne St, Suite 201, Angola, IN 46703 | 2007-11-09 |
| 1760537658 | Margaret Jean Schreiber | Nurse Practitioner | 103 Intertech Parkway, Suite A, Angola, IN 46703 | 2007-01-24 |
| 1922163120 | Tamara Lynn Watkins | Dentist | 101 N. Terrace Blvd., Angola, IN 46703 | 2006-12-27 |
| Find all providers in zip 46703 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750436200 | Guy J Moore | Dentist | 205 E Harcourt Rd, Angola, IN 46703-7131 | 2007-01-24 |
| 1922163120 | Tamara Lynn Watkins | Dentist | 101 N. Terrace Blvd., Angola, IN 46703 | 2006-12-27 |
| 1366502635 | Joseph J Mecca | Dentist | 8724 N Main St, Box 353, Angola, NY 14006-9603 | 2006-12-09 |
| 1508924804 | Bradley S Igney | Dentist | 224 N Wayne St, Angola, IN 46703-1548 | 2006-12-05 |
| 1629173265 | Galen Ricci Williams | Dentist | 901 Williams St, Angola, IN 46703-1167 | 2006-09-14 |
| 1508973009 | James Leslie Brown | Dentist | 2207 N Wayne St, Angola, IN 46703 | 2006-08-23 |
| 1942298203 | Michael Pantera | Dentist | 905 Lake St, Angola, NY 14006-9281 | 2005-10-11 |
| 1285847061 | Troy Holder | Dentist | 224 N Wayne St, Angola, IN 46703-1548 | 2007-05-08 |
| 1558463737 | Joyce A Rockwell | Dentist | 1440 N 200 W, Angola, IN 46703 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1558968024 | Connor Michael Kirtley | Dentist | 325 N Walnut St Ste A, Seymour, IN 47274-2113 | 2020-10-07 |
| 1467067819 | Hewlett Zaremba LLC | Dentist | 309 N Bittersweet Rd # 105, Mishawaka, IN 46544-4220 | 2020-09-12 |
| 1679186258 | James Patrick Thompson | Dentist | 5909 Wheelock Rd Ste 102, Fort Wayne, IN 46835-9258 | 2020-08-25 |
| 1770194698 | Dental Professionals of In, P.C. | Dentist | 8570 Northwest Blvd, Indianapolis, IN 46278-1383 | 2020-08-13 |
| 1407466055 | Marcus Bigot | Dentist | 13590b N Meridian St Ste 101, Carmel, IN 46032-1409 | 2020-08-07 |
| 1639788219 | Karima N Lubbadeh | Dentist | 12574 Promise Creek Ln Ste 110, Fishers, IN 46038-7713 | 2020-07-29 |
| 1689282196 | Eric Gerald Hollensbe | Dentist | 3415 S Lafountain St Ste I, Kokomo, IN 46902-3826 | 2020-07-21 |
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1578181194 | Trisha Johnson Cahill | Dentist | 1202 W Buena Vista Rd Ste 206, Evansville, IN 47710-5134 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.